Provider Demographics
NPI:1568434637
Name:YOST, STEPHEN S (DO)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:YOST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-350-2155
Mailing Address - Fax:912-350-2156
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-2155
Practice Address - Fax:912-350-2156
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0453692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00949150OtherRAILROAD MEDICARE
SCGA1197Medicaid
GA000786079JMedicaid
GA000786079HMedicaid
01453385OtherAMERIGROUP
GA26BDJRQMedicare ID - Type Unspecified
01453385OtherAMERIGROUP
GA000786079HMedicaid